Provider Demographics
NPI:1134900228
Name:NGUYEN, TOMMY (DPT)
Entity type:Individual
Prefix:
First Name:TOMMY
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RICHMOND SQ STE 200
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5117
Mailing Address - Country:US
Mailing Address - Phone:401-726-7100
Mailing Address - Fax:401-433-0612
Practice Address - Street 1:150 EMMONS ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2036
Practice Address - Country:US
Practice Address - Phone:508-231-5944
Practice Address - Fax:508-709-3615
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL27081225100000X
RIPT03741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist